Individual provider · Type 1 NPI

Laurie Manthos, DMD

Oral and Maxillofacial Surgery (Dentist) · Worcester, MA

NPI number 1295941607 Active

Practice location

200 Lincoln St, Suite 1
Worcester, MA 01605-2528

Call (508) 752-2100 Map

Fax (508) 752-0304

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X16823 (MA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1295941607

Laurie Manthos, DMD's National Provider Identifier is 1295941607, issued on May 15, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Worcester, MA. The record was last updated on Jul 8, 2007.